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1871286583
CHINMAYA SURIYANARAYANAN
DAVENPORT, IA
NPI
1871286583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 09981)
Enumeration Date
2023-05-30
Last Update Date
2023-05-30
Business Address
CHINMAYA SURIYANARAYANAN
3301 W KIMBERLY RD STE 5
DAVENPORT, IA 52806-3047
Phone number: 888-988-4066
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Mailing Address
CHINMAYA SURIYANARAYANAN
2050 E ALGONQUIN RD STE 610
SCHAUMBURG, IL 60173-4166
Phone number: 847-510-4910
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